| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99444 |
|
1,838 |
434 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,341 |
1,159 |
$37K |
| 99423 |
|
547 |
140 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
683 |
618 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
56 |
$1K |
| 99490 |
Ccm add 20min |
188 |
187 |
$1K |
| 81002 |
|
377 |
364 |
$975.33 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
92 |
42 |
$584.58 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
16 |
$553.19 |
| 99422 |
|
34 |
14 |
$536.16 |
| 81025 |
|
41 |
39 |
$267.12 |
| 92551 |
|
62 |
57 |
$232.65 |
| 99454 |
|
92 |
91 |
$171.87 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$154.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$81.91 |
| 1159F |
|
467 |
413 |
$0.00 |
| 1160F |
|
954 |
784 |
$0.00 |
| 0521F |
|
50 |
45 |
$0.00 |
| 3078F |
|
307 |
284 |
$0.00 |
| 3725F |
|
245 |
221 |
$0.00 |
| 3077F |
|
16 |
12 |
$0.00 |
| 1126F |
|
463 |
415 |
$0.00 |
| 3074F |
|
327 |
299 |
$0.00 |
| 1036F |
|
920 |
771 |
$0.00 |
| 97802 |
|
127 |
107 |
$0.00 |
| 3008F |
|
682 |
563 |
$0.00 |
| 1125F |
|
217 |
187 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
27 |
26 |
$0.00 |
| 99457 |
|
15 |
12 |
$0.00 |
| 1170F |
|
110 |
95 |
$0.00 |
| 3079F |
|
49 |
43 |
$0.00 |
| 1031F |
|
30 |
29 |
$0.00 |